Active NPI
Medi Mobile LLC
- Non-emergency Medical Transport (VAN)
- Tucson, AZ
National Provider Identifier
1871851881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 3019449
- Legal business name
- MEDI MOBILE LLC
- Practice address
- 4001 N Runway Dr
Tucson, AZ 85705-2992 - Phone
- (520) 505-6190
- NPI assigned
- Apr 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lillian C Major
- Title
- Owner
- Phone
- (520) 505-6190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 3019449 | AZ | Primary |
Addresses
Primary practice location
4001 N Runway Dr
Tucson, AZ 85705-2992
Mailing address
1306 S Burdock Dr
Tucson, AZ 85713-4640
Phone (520) 505-6190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 659359 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
4001 N Runway Dr
Tucson, AZ 85705
Phone (520) 505-6190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335484800000",
"number": "1871851881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 S BURDOCK DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857134640",
"telephone_number": "520-505-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 N RUNWAY DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857052992",
"telephone_number": "520-505-6190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDI MOBILE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-27",
"last_updated": "2012-04-27",
"status": "A",
"authorized_official_last_name": "MAJOR",
"authorized_official_first_name": "LILLIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-505-6190",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "AZ",
"license": "3019449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "659359",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.